Endoscopic combined intrarenal surgery without ureteral access sheath performed for renal stone after Cohen reimplantation

Q4 Medicine IJU Case Reports Pub Date : 2024-04-24 DOI:10.1002/iju5.12731

Tetsuo Fukuda, Ryo Kawahata, Hironao Tajirika, Tatsuro Ishikawa, Junichi Matsuzaki

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Abstract

Introduction

Endoscopic combined intrarenal surgery after anti-reflux operation is rarely performed.

Case presentation

A 37-year-old female was referred to our hospital for treatment of left renal stone. She underwent anti-reflux surgery (Cohen reimplantation) for left vesicoureteral reflux at the age of 10 years. Computed tomography revealed a 17 × 11 mm left inferior calyceal calculus. The patient received retrograde double-J stent insertion under radiographic guidance and underwent ultra-mini endoscopic combined intrarenal surgery without ureteral access sheath. The patient was discharged on postoperative Day 5 with no postoperative complications. Postoperative cystography showed no recurrence of vesicoureteral reflux. One month after the operation, kidney–ureter-bladder radiography and computed tomography scan revealed no residual stones or hydronephrosis.

Conclusion

Ultra-mini endoscopic combined intrarenal surgery without ureteral access sheath is an effective method for treating renal stones after Cohen reimplantation.

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科恩再植术后肾结石的无输尿管入路鞘内镜联合肾内手术

一名 37 岁的女性因左肾结石转诊至我院接受治疗。她在 10 岁时因左侧膀胱输尿管反流接受了抗反流手术（科恩再植术）。计算机断层扫描显示左肾下盏结石为 17 × 11 毫米。患者在射线引导下接受了逆行双J支架植入术，并在无输尿管入路鞘的情况下接受了超小型内镜联合肾内手术。患者于术后第 5 天出院，无术后并发症。术后膀胱造影显示膀胱输尿管反流没有复发。术后一个月，肾-输尿管-膀胱造影和计算机断层扫描显示没有残留结石或肾积水。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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